Count of 2012 Formularies covering the Top 10 Medicare Drugs Program wide | |||||||||
Formulary Count* | |||||||||
NDC | Drug Name | Start** | Feb. | April | June | July | Aug. | Sept. | 2013*** |
00430047203 | Actonel 35mg 36 DOSE PACK | 0 | 0 | 211 | 221 | 212 | 215 | 218 | 229 |
64764030116 | ACTOS 30MG TABLET (500 CT) | 286 | 286 | 273 | 286 | 276 | 280 | 283 | 312 |
00173069600 | ADVAIR DISKUS MIS 250/50 | 249 | 249 | 267 | 279 | 270 | 273 | 276 | 300 |
63304082790 | ATORVASTATIN 10 MG TABLET [Lipitor] | 0 | 0 | 196 | 213 | 256 | 275 | 280 | 312 |
00378362777 | CLOPIDOGREL TAB 75MG [Plavix] | 0 | 0 | 0 | 0 | 0 | 0 | 272 | 299 |
00078031534 | DIOVAN HCT 160/12.5MG TABLET | 276 | 276 | 265 | 278 | 268 | 271 | 274 | 232 |
00093585101 | ESCITALOPRAM 10 MG TABLET [Lexapro] | 0 | 0 | 0 | 0 | 248 | 254 | 262 | 297 |
00088222033 | LANTUS 100U/ML VIAL | 284 | 284 | 270 | 283 | 273 | 277 | 280 | 306 |
00456201001 | LEXAPRO 10MG TABLET | 237 | 239 | 232 | 240 | 231 | 226 | 156 | 92 |
00071015523 | LIPITOR 10MG TABLET | 225 | 225 | 215 | 223 | 190 | 151 | 138 | 67 |
00186504054 | NEXIUM 40MG CAPSULE | 199 | 198 | 194 | 198 | 194 | 194 | 196 | 182 |
63653117105 | PLAVIX 75MG TABLET | 287 | 287 | 273 | 286 | 276 | 280 | 258 | 114 |
47335090288 | QUETIAPINE FUMARATE 25 MG TAB [SEROQUEL] | 0 | 0 | 0 | 0 | 0 | 255 | 271 | 292 |
00310027510 | SEROQUEL 25MG TABLET | 282 | 282 | 268 | 281 | 271 | 274 | 198 | 116 |